Individual
SANDRA LYNN FALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 N 4TH AVE # NORTH, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
PO BOX 1, 303 PARK AVE, PORTER, MN 56280-0001
(507) 401-6280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0616119
MN
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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